OrganizationActive
Well-Rooted Functional Medicine
NPI 1205421237 · Medical Specialty Clinic/Center · Woodstock, IL
Provider details
- NPI number
- 1205421237
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Pawlicki, Owner(815) 529-1201
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 S Johnson St Ste 207
Woodstock, IL 60098-3259
Phone: (815) 355-1605
Street-level locationGet directions
Mailing address
110 S Johnson St Ste 207
Woodstock, IL 60098-3259
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.